The role of bidirectional associations between depression, anxiety, and emotional exhaustion on turnover intention among nurses: a multicenter cross-sectional study in China

Table 4 The role of bidirectional associations between depression, anxiety, and emotional exhaustion on turnover intention (N = 1131)

Estimate	B	β	95%CI
Total effect
Model 1: Depression→TI	0.365	0.483	(0.423, 0.540) ^***
Model 2: Anxiety→TI	0.350	0.483	(0.423, 0.540) ^***
Model 3: EE→TI ^a	0.209	0.620	(0.571, 0.664) ^***
Model 4: EE→TI^b	0.209	0.620	(0.571, 0.664) ^***
Indirect effect
Model 1: Depression→EE→TI	0.222	0.293	(0.245, 0.346) ^***
Model 2: Anxiety→EE→TI	0.212	0.293	(0.245, 0.346) ^***
Model 3: EE→Depression→TI	0.037	0.109	(0.064, 0.155) ^***
Model 4: EE→Anxiety→TI	0.050	0.102	(0.061, 0.141) ^***
Direct effect
Model 1: Depression→TI	0.144	0.190	(0.109, 0.268) ^***
Model 2: Anxiety→TI	0.137	0.190	(0.109, 0.268) ^***
Model 3: EE→TI ^a	0.212	0.577	(0.441, 0.577) ^***
Model 4: EE→TI ^b	0.216	0.518	(0.450, 0.582) ^***

^a depression as a mediating variable; ^b anxiety as a mediating variable; EE: emotional exhaustion; TI: turnover intention; B, path coefficient; β, standardized path coefficient; 95%CI, 95% confidence interval for the standardized path coefficient
^***P < 0.001

ISSN: 1472-6955